The hospice nurse is caring for a client with lung cancer. The ...

[ereecah]

The hospice nurse is caring for a client with lung cancer. The client's daughter states, My mom isn't happy with anything I do for her. She is constantly yelling at me.
 
  The nurse understands that the client is in which stage of grief according to Kbler-Ross?
  A) Depression
  B) Anger
  C) Acceptance
  D) Bargaining
  E) Denial

Question 2

The nurse is preparing the body of a client who was killed in a car accident for the family to view. Which step would be contraindicated?
 
  A) Removal of all IVs and other medical tubing.
  B) Clean, position, and cover the client with a sheet, exposing only the head and a hand.
  C) Inform the family that they can have as much time alone with the client as they wish.
  D) Respect all religious and cultural practices of the family.

[yuyiding]

Answer to Question 1

Ans: B
Feedback:
Kbler-Ross proposed five stages of grief: (a) denial, (b) anger, (c) bargaining, (d) depression, and (e) acceptance. Denial may range from complete denial of the illness and impending death to denial of the effect that dying will have on self and others. In the second stage, anger may be directed toward fate, God, family members, health care providers, or others. Bargaining occurs as the client seeks to delay the dreaded event; the client bargains with God for more time and, in return, promises to do something to repay God for this favor. Depression occurs when the client acknowledges the reality and inevitability of the impending death. In the final stage, acceptance, the client comes to terms with the loss, begins to detach from supportive people, and loses interest in worldly activities.

Answer to Question 2

Ans: A
Feedback:
In an effort to limit exposure to the disturbing sight of equipment and medical supplies, the nurse should, if possible, remove unneeded items and clean, position, and cover the client. However, under some circumstances (such as an unexpected death), intravenous and other lines and tubes should not be removed, as the body may need to be examined by a medical examiner. Having time alone with the client is an important step for some families, whereas others appreciate the presence of a nurse, a spiritual leader, or friends. Religious and cultural beliefs and customs should be observed as much as possible.

[ereecah]

Excellent

[bimper21]

TYSM